American Association of University Women - Madison Branch
Mature Woman Grant Application
ELIGIBILITY REQUIREMENTS: Women age 25 or over, who are residents of the following towns in Morris County, New Jersey: Chatham, Chatham Township, East Hanover, Florham Park, Madison, Morris Township, or Morristown. This grant is to be used for education-related expenses incurred in pursuit of a degree or certification.
Applications for the 2016 Grant must be received by THURSDAY, MARCH 31, 2016.
Send completed application to: AAUW Grant CommitteeP. O. Box 935, Madison, NJ 07940-0935
email:
phone: 973.656-1562
A copy of this application may be found on our web-site: http://aauwmadisonnj.org
The form may be copied to your hard drive and then completed
Copies are also available at the local libraries and colleges.
PLEASE complete this form (TYPE or PRINT ) and SEND the completed form to the above address
EITHER by e-mail (as a WORD document attachment) OR by US Postal Service (with a paper copy).
Additional pages may be attached OR sections may be expanded, if needed.
......
NAME:
HOME ADDRESS (full address):
Mailing address (if different):
PHONE: home: cell:
E-MAIL:
How did you learn about this grant opportunity?
Applying for (CHECK ONE): __Graduate __Undergraduate __Certificate __Other
Where Enrolled
School/College/University:
Program (Include the specific program in which you are enrolled):
Grade Point Average (if available):
Expected completion or graduation date:
Educational Background to date:
Purpose of your studies & how the knowledge gained will be used:
Describe your educational, career, and personal goals (both short- & long-term)
Statement of Financial Need: Financial need is one factor taken into consideration for this grant. Please provide
(1) The estimated cost of your education-related expenses for the indicated educational program.
(2) Anything else you would like us to know.
PLEASE NOTE:
Each Grant Recipient should plan to attend the Madison Branch’s Fall Dinner to meet the Branch members and speak briefly about her schooling and her goals.
If unable to attend the Madison Branch’s Fall Dinner, the Grant Recipient should make arrangements to attend a later Branch meeting and speak at that time.
Each Grant Recipient will also be asked to give permission to use her name and photograph in articles published in local newspapers and other documents used for publicity purposes.
ELIGIBILITY CERTIFICATION:
I certify that I currently meet the eligibility requirements as stated in this application (see top of page 1).
Applicant's Signature______DATE: ______
(If submitted electronically, indicate here ___ that you make this certification.)
AGREEMENTS:
In the event that I am chosen to receive a Grant from the AAUW – Madison Branch,
I agree to the following:
(1) I will provide to the AAUW Grant Committee an original signed letter of verification from an official of the college or university to state that either (a) I am enrolled as a student in that college or university for the coming school year, or (b) that I have been accepted for enrollment in that college or university for the coming school year. I understand that no grant will be awarded if such letter is not received by the AAUW Grant Committee at the address listed on page 1 by Tuesday, May 17, 2016.
(2) In the event that I do not enroll or continue my studies, I agree to refund to AAUW – Madison Branch any grant money received.
Applicant's Signature______DATE: ______
(If submitted electronically, indicate here ___ agreement with the above conditions.)
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